Advanced Physical Assessment Study guides, Class notes & Summaries

Facial skin No discoloration or lesions Head Midline, symmetrical, normal in size Lymph node palpation (9 locations) *Preauricular* - in front of ear *Post auricular* - behind ear *Occipital* - back of head Move forward - *tonsillar* Under jawline - *submandibular*, *Submental* *Anterior cervical* *Posterior cervical* *Supraclavicular* - above clavicles ---Do not feel any enlargement, equal bilaterally CN 5 *Trigeminal nerve* Motor component - palpate over the master muscl...

A patient tells the FNP that he is very nervous, that he is nauseated, and that he "feels hot". This type of data would be: A. objective B. subjective C. introspective D. reflective subjective The patient's record, laboratory studies, objective data and subjective data combine to for the: A. discharge summary B. data base C. admitting data D. financial statement data base The FNP is reviewing information about evidence-based practice (EBP). Which statement best reflects evid...

According to the holistic model, a narrow definition of holistic health includes: A. an optimal functioning of mind, body and spirit within the environment B. The absence of disease C. the response of the whole person to actual or potential problems D. the internal and external environment B. the absence of disease An example of subjective data is: A. Decrease range of motion B. crepitation in the left knee joint C. left knee has been swollen and hot for 3 days D. arthritis C. left ...

patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you localize the symptom to? A) Musculoskeletal B) Reproductive C) Urinary D) Endocrine A) Musculoskeletal Chest pain may be due to a musculoskeletal condition, such as costochondritis or intercostal muscle cramp. This would be worsened by motion of the chest wall. Pleuritic chest pain is also a sharp chest pain which increases with a deep breath. This type of pain ca...

Palmer Grasp Reflex the infant will flex all finger to grasp your finger. *If seen beyond 4 mo= pyramidal tract dysfunction. Persistance of a clinched hand over 2 mo=CNS damage *especially if fingers overlap the thumb. Plantar grasp reflex 6-8 mo Touch the sole at the base of the toes , the toes will curl. -reflex after 8 months suggest pyramidal tract dysfunction. Moro reflex (startle reflex) Birth to 4 persistence beyond 4 mo =cerebral palsy, asymmetric response = fx clavicle, humerus, ...

A 35-year-old man is seen in the clinic for an infection in his left foot. Which of these findings should the FNP expect to see during an assessment of this patient? Enlarged and tender inguinal nodes The direction of blood flow through the heart is best described by which of these Right atrium > right ventricle > pulmonary artery > lungs > pulmonary vein > left atrium > left ventricle In assessing the carotid artery's of an older patient with cardiovascular disease, the...

A patient has been diagnosed with pernicious anemia. The nurse knows that this condition could be related to: ased gastric acid secretion. ased gastric acid secretion. ed gastrointestinal emptying time. ased gastrointestinal emptying time. ANS: 2 Gastric acid secretion decreases with aging, and this may cause pernicious anemia (because it interferes with vitamin B12 absorption), iron deficiency anemia, and malabsorption of calcium. The nurse is examining a patient who tells the ...

When performing a physical assessment, the first technique the nurse will always use A. Palpation B. Inspection C. Percussion D. Auscultation B. Inspection The nurse is preparing to perform a physical assessment. Which statement is true about the physical assessment? The inspection phase: A. Usually yields little information B. Takes time and reveals a surprising amount of information C. May be somewhat uncomfortable for the expert practitioner D. Requires a quick glance at the pa...

The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry. This finding would be related to which factor? a. Increased vascularity of the skin in the elderly b. Increased numbers of sweat and sebaceous glands in the elderly c. An increase in elastin and a decrease in subcutaneous fat in the elderly d. An increased loss of elastin and a decrease in subcutaneous fat in the elderly An increased loss of elastin and a decrease in subcutaneous fat in the eld...

First step obtain patient consent to video and assessment Face most note head is midline and symmetrical no discoloration or lesions Palpation of Lymph nodes on face and neck preauricular lymph nodes-at front of ear postauricular lymph nodes-back of ear occipital lymph nodes-back of head tonsillar lymph nodes-move forward under jaw submandibular lymph nodes-under jaw submental lymph nodes-under chin Now palpate the cervical Lymph nodes pre-cervical lymph nodes-run hands down neck...